This Kalorama Information report, What's Next in Biologics? represents our latest research into the market for non-vaccine biological drugs and the companies who compete in the market.

1. What's Next in Biologics? (mAbs, rDNA, Interferons, and Other Biologics) 2011-
2015
Published: June 2011
No. of Pages: 150
Price: $3995
The future of the pharmaceutical market will be determined by biologics - drugs produced
by natural organisms or recombinant techniques consisting of proteins and other products
derived from living organisms for the treatment or management of diseases or injuries.
What are the products that lead the market now and what can we expect to see in the
coming years?
This Kalorama Information report, What's Next in Biologics? represents our latest research
into the market for non-vaccine biological drugs and the companies who compete in the
market. The following are among the data points in this report:
• Biopharmaceutical Pipeline for Significant Companies
• Market Size of Biopharmaceuticals
• Monoclonal Antibodies (mAbs)
• Recombinant Hormones and Proteins (rDNA)
• Interferons and
• Other Biologics
• Biopharmaceutical Market Forecast to 2015
• Products in Development: New Compound vs. Additional Indications
• Competitor Market Shares for Biopharmaceuticals
• Autoimmune, Cancer, Cardiovascular and Hormone Treatments Market Sizes and
Competitor Shares
• Drug Development Cost Progression
• Leading Biotech Therapies by 2010 Revenues
• Population and Healthcare Spending Trends
• Select Biotechnology Drugs Approved for Marketing
The biologics industry encompasses a wide range of products including monoclonal
antibodies, blood products, vaccines, and some diagnostics and devices. For the purpose of

2. this study, Kalorama Information has focuses on those biologics that are used in conjunction
with or as a replacement to traditional pharmaceutical treatment. For example, treatments
for cancer, growth disorders, autoimmune diseases and blood disorders. This study excludes
products such as vaccines—including prophylactic vaccines—which are covered in-depth in
separate Kalorama studies. The following is among the qualitative analysis found in this
report:
• The Role Government Incentives Will Play in the Future Biotech Market
• Pharmaceutical Regulatory Exclusivity
• Biosimilars: Where They Stand and What We Can Expect
• The Largest Areas of Research for Biopharmaceuticals
• Improvements in the Next Generation of Biologics
• The Impact of Aging Populations on Biotechnology Market Development
• Health Care Reform: What it Means
• Recent Mergers, Acquisitions, and Collaborations
• Contributors to R&D Success
• Targeted Cancer Therapy
• Genome Sequencing for Personalized Healthcare
• The Role of Contract Research Organizations
In the traditional pharmaceutical market, the pipeline is struggling to produce strong
therapies and the growing number of drugs losing patent protection will more than offset
revenues generated from new developments. For now, the biotechnology market is spared
the impact of this setback as the path to generic or biosimilar development is more involved
and the number of biotechnology drugs facing generic competition remains limited.
TABLE OF CONTENTS
CHAPTER ONE: EXECUTIVE SUMMARY
Background
Scope and Methodology
Size and Growth of the Market
Key Issues and Trends Affecting the Market
Leading Competitors
CHAPTER TWO: INTRODUCTION
Overview of the Kidney
Kidney Diseases
Treatment Options
Dialysis
Kidney Transplant
The Artificial Kidney
Comparison of Treatment Options

3. In-Center Hemodialysis
Home Hemodialysis
CAPD (Continuous ambulatory peritoneal dialysis)
CCPD (Continuous Cycler Peritoneal Dialysis)
IPD (Intermittent Peritoneal Dialysis)
Kidney Transplantation
Epidemiology and Demographic Patterns
ESRD Trends
Dialysis Treatment Demand
Dialysis Treatment Preferences: Major Countries
CHAPTER THREE: ISSUES AND TRENDS AFFECTING THE MARKET
Overview
World Demographics
Prevalence of Diabetes in China and India
Hospital Admissions for Infection
Increasing Life Expectancy Worldwide
Insurance and Reimbursement Issues
Reimbursement in the United States
Access to Care for Native Populations Around the Globe
Trends in Kidney Transplantation
Product Development and Innovation
Dialyzers
Nephera Ltd
Prismaflex System Software
XCorporeal, Inc.
Implantable Artificial Kidney
Consolidation and Joint Ventures in the Industry
Home Dialysis
Heat Disinfection for Water Quality
Dialysis Treatment and Comfort
Dialysis on Cruise Ships
Company Commitments to the National Salt Reduction Initiative
CHAPTER FOUR: DIALYSIS EQUIPMENT AND SUPPLIES MARKET
Overview
Hemodialysis Products and Supplies
HD Machines
Blood Line
Dialyzer Market

4. Hemodialysis Access Products Market
Peritoneal Dialysis Products and Supplies
Peritoneal Dialysis—A Part of Integrated Care
Peritoneal Dialysis Transfer Sets
Peritoneal Dialysis Catheters
Peritoneal Dialysis Machines
Factors Affecting Demand
Innovative Products
Fresenius Medical Care
Baxter International
Gambro
Market Overview by Region
United States
Japan
Germany
France
United Kingdom
Italy
Canada
India
China
Australia
Market Analysis
Market Analysis by Country
Competitive Summary
CHAPTER FIVE: DIALYSIS SERVICES MARKET
Overview
Dialysis Service Centers
Leading Suppliers and Services
Fresenius Medical Care
DaVita
Market Overview by Region
Regional Variation of Dialysis Cost
United States
Japan
Germany
France
United Kingdom
Italy

5. Canada
India
China
Australia
Market Analysis
Market Analysis by Country
Competitive Summary
CHATPER SIX: MARKET AND COMPETITOR ANALYSIS
Market Overview
Market Analysis by Country
Leading Competitors
CHAPTER SEVEN: LEADING MANUFACTURERS
Overview
Asahi Kasai Kuraray Medical
B.Braun AG
Baxter Healthcare
Bellco
DaVita
Diaverum
Fresenius Medical Care
Gambro AB
Kawasumi Laboratories Inc.
Medionics International
Nikkiso Europe GmbH
CHATPER EIGHT: LIST OF MAJOR COMPANIES
LIST OF EXHIBITS
CHAPTER ONE: EXECUTIVE SUMMARY
Table 1-1: The Worldwide Dialysis Market, 2005-2015
Figure 1-1: The Worldwide Dialysis Market, 2005-2015
CHAPTER TWO: INTRODUCTION
Table 2-1: Composition of Plasma, Nephric Filtrate, and Urine
Figure 2-1: Incidence of ESRD vs. Transplants in United States
Table 2-2: Kidney Transplant Rates by Country (20 Countries), 2004-2008
Table 2-3: Number of ESRD Patients by Geographical Market (United States, France, United Kingdom,

6. Japan, Canada, ROW) 2005-2008
Table 2-4: ESRD Prevalence by Country (31 Countries), 2005-2008
Figure 2-2: ESRD Prevalence by Country (31 Countries) 2008
Table 2-5: Number of Dialysis Patients by Geographical Market (North America, Asia-Pacific, EAME, Latin
America) 2010
Table 2-6: Dialysis Modality Preference (Hemodialysis, Home Hemodialysis, or Peritoneal Dialysis) in 33
Selected Countries, 2007-2008
Figure 2-3: Dialysis Modality Preference (Hemodialysis, Home Hemodialysis, or Peritoneal Dialysis) in 32
Selected Countries, 2008
CHAPTER THREE: ISSUES AND TRENDS AFFECTING THE MARKET
Table 3-1: World Population by Selected Geographical Region, 2010 - 2050
Figure 3-1: World Population by Selected Geographical Region, 2010-2050
Table 3-2: Percent Population Over 65 by Year and Region, 2010-2050
Figure 3-2: Estimated World Population by Age, 2010 and 2050
Table 3-3: Diabetes Statistics
Table 3-4: Average Life Expectancy in Years by Country 1980 and 2011
Figure 3-3: Average Life Expectancy in Years by Country 1980 and 2011
Figure 3-5: Medicare Total ESRD Expenditures (in USD Billions), 2006-2008
Figure 3-6: Annual Cost of Dialysis Care in the United States by Type of Expense (Composite Treatment
Rate, Hospitalization, Epogen/Other Drugs, Physician Costs, Other) in Dollars and Percentage Share
Table 3-7: Comparison Between New Bundled and Composite Medicare Reimbursement Program (1983-
2010 and 2011+)
CHAPTER FOUR: DIALYSIS EQUIPMENT AND SUPPLIES MARKET
Figure 4-1: Hemodialysis Patients by Selected Country (15 countries) Percentage of Total Dialysis
Patients
Figure 4-2: Worldwide Hemodialysis Machine Demand (Installed Capacity Units), 2005-2015
Figure 4-3: Worldwide Market for Home-Use Hemodialysis Machines, (Installed Capacity in Units), 2005-
2015
Figure 4-4: Worldwide Blood Lines Market, Units in Millions, 2005-2015
Figure 4-5: Worldwide Dialyzer Market, Modules in Millions, 2005-2015
Table 4-1: Differences in Source of Access by Region (North America, Europe, Asia, Latin America/Africa)
and Type (AV Graft, AV Fistula, Catheter), Percentage of Patients
Figure 4-6: Worldwide Fistula Needles Market, Units in Millions, 2005-2015
Figure 4-7: Worldwide Hemodialysis Catheter Market, Units, 2005-2015
Figure 4-8: Worldwide AV Graft Market, Patients, 2005-2015
Figure 4-10: Peritoneal Dialysis Patients by Selected Country (15 countries) Percentage of Total Dialysis
Patients
Figure 4-11: Worldwide Peritoneal Transfer Set Market, Units, 2005-2015

7. Figure 4-12: Peritoneal Dialysis Machines Market, Units, 2005-2015
Table 4-2: Leading Providers of Dialysis Equipment and Supplies, 2010
Figure 4-13: Leading Providers of Dialysis Equipment and Supplies, 2010
Table 4-3: Access Preferences in the United States Percentage of Patients by Access Type (AV Grafts, AV
Fistula, Catheter)
Table 4-4: Access Preferences in Japan Percentage of Patients
Table 4-5: Access Preferences in Germany, Percentage of Patients
Table 4-6: Access Preferences in France Percentage of Patients
Table 4-7: Access Preferences in the U.K. Percentage of Patients
Table 4-8: Access Preferences in Italy Percentage of Patients
Table 4-9: Access Preferences in Canada, Percentage of Patients
Table 4-12: Access Preferences in Australia Percentage of Patients
Table 4-13: The Worldwide Market for Dialysis Products by Dialysis Type, 2005-2015
Figure 4-14: The Worldwide Market for Dialysis Products by Dialysis Type, 2005-2015
Table 4-14: Dialysis Product Market, Dollar Volume by Region, 2010
Figure 4-15: Dialysis Product Market, Market Share by Region, 2010
Table 4-15: Worldwide Hemodialysis Products Competitor Analysis, 2010
Figure 4-16: Worldwide Hemodialysis Products Market Share, 2010 (% Market Share)
Table 4-16: Worldwide Peritoneal Dialysis Products Competitor Analysis, 2010
Figure 4-17: Worldwide Peritoneal Dialysis Products Market Share, 2010 (% Market Share)
CHAPTER FIVE: DIALYSIS SERVICES MARKET
Figure 5-1: Worldwide Dialysis Centers (Number of Facilities), 2001-2010
Table 5-1: Leading Providers of Dialysis Services, 2010
Figure 5-2: Leading Providers of Dialysis Services, 2010
Figure 5-3: U.S. Dialysis Facilities (Number of Clinics), 1991-2006
Figure 5-4: U.S. Dialysis Patients at Years End, 1991-2010
Table 5-4: The Worldwide Market for Dialysis Services, 2005-2015
Figure 5-5: The Worldwide Market for Dialysis Services, 2005-2015
Table 5-5: Dialysis Service Market, Dollar Volume by Region, 2010
Figure 5-6: Dialysis Service Market, Market Share by Region, 2010
Table 5-6: Worldwide Dialysis Service Market, Competitor Analysis, 2010
Figure 5-7: Worldwide Dialysis Service Market Share, 2010 (% Market Share)
CHAPTER SIX: MARKET AND COMPETITOR ANALYSIS
Table 6-1: The Worldwide Dialysis Market by Type, 2005-2015
Figure 6-1: The Worldwide Dialysis Market by Type, 2005-2015
Figure 6-2: Dialysis Industry: Proportion Products vs Services, 2010
Table 6-2: Dialysis Products and Services Market, Dollar Volume by Region, 2015
Figure 6-3: Dialysis Products and Services Market, Dollar Volume by Region, 2010

8. Table 6-3: Worldwide Dialysis Product and Service Market, Dollar Volume by Competitor, 2006, 2008
and 2010
Figure 6-1: Worldwide Dialysis Product and Service Market by Company Performance, 2006-2010
Figure 6-4: Worldwide Dialysis Product and Service Market Share, 2010 (% Market Share)
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